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Individual

DR. JUSTIN E SANDHOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
42D MEDICAL GROUP, 300 SOUTH TWINING STREET, BLDG 760, MONTGOMERY, AL 36112-6027
(334) 953-5200
Mailing address
42D MEDICAL GROUP, 300 SOUTH TWINING STREET, BLDG 760, MONTGOMERY, AL 36112-6027
(334) 953-5200

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2876
CO

Other

Enumeration date
01/18/2007
Last updated
08/18/2025
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